SSF-103 Form

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ALLAMA IQBAL OPEN UNIVERSITY

AIOU STUDENT SUPPORT FUND


Directorate of Students Advisory & Counseling Services

The Regional Director _____________________________

Subject: APPLICATION FORM FOR MERIT SCHOLARSHIP

PART-1
(PARTICULARS OF APPLICANT)

1. Name:______________________________ 2. Son/Daughter of:_____________________


3. Roll No. (If Cont. Student)______________ 4. Reg. No.___________________________
5. Date of Birth:_________________________ 6. NIC No.____________________________
7. Phone No.___________________________ 8. Email:_____________________________
9. Postal Address:__________________________________________________________________
______________________________________________________________________________
10. Have you already availed the Merit Scholarship from AIOU Yes No
If yes please specify/indicate Semester ___________________________.
11. i.________________ ii. ________________iii._______________iv.________________v._________________vi.________________
12. Fee Deposited Rs._________________ Chall No.___________________ Date._______________
13. Academic Particulars:
Passing Year Percentage Grad/Division Obtained/Total Marks
SSC
F.A/F.Sc/C.Com/D.Com/I.Com
B.A/B.Sc./B.Com/or equivalent
M.A/M.Sc/M.Com/MBA/equivalent
M.S/M.Phil

I hereby certify that above information is correct to the best of my knowledge and the income of
mine/parents is meager and couldn’t meet my educational expenditure. I shall abide by all Rules &
Regulations of ASSF and procedure laid down by the University. I also undertake that in case of any
misconduct or action whatsoever not in the conformity with the University Policy/Procedure, as the
case may be, the scholarship will be refunded/deposited in the university’s account.

Student Signature:____________________
Name:_____________________________
Date:_________________________
Forwarded by the Concerned Region:
Name of Official:__________________________ Signature:______________________________

Regional Campus/Centre____________________ Signature of RD/DRD/ARD:_______________

Photocopy can be used.


PART-2
(INCOME STATEMENT)
A. FOR INDEPENDENT APPLICANT
1. Profession/Job Title:______________________________________________________________________________
2. Number of persons dependent uponapplicant:_________________________________________________________
3. Monthly income of applicant from all sources (attach documentary proof): ______________________
B. FOR APPLICANT DEPENDENT ON PARENTS/GUARDIAN
1. Depend upon: Parents  Guardian 
2. Is Father: Alive  Dead 
3. Is Mother: Alive  Dead 
4. Father/Guardian’s Name: __________________________________________________________________________
5. Profession: _____________________________________________________________________________________
6. National Identity Card No._________________________________________________________________________
7. Number of persons dependent upon the parent/guardian: ______________________________________
8. Monthly income of parents/guardian from all sources (attach documentary proof):__________________
9. Please Specify if already availed fee concession in previous Semester: Yes No 
If yes please mention semester____________________.

Student’s Signature___________________________

FOR OFFICIAL USE

Total fee due to the semester _________________ program__________________ is Rs______________ and we


recommended scholarship amount of Rs_______________, which is ____________ percentage (%age) of his/her tuition
fee.
It is also stated that the amount of scholarship recommended for this student is under the allocated proportionate of
budget.
Signatures of Members of Regional Committee:

1. Member:________________________________ 2. Member:________________________________

3.Member:________________________________ 4. Chairperson:_____________________________

5. Secretary :_________________________________

INSTRUCTION:
1. The application form must be completed in all respect.
2. Please attach attested copies of the following documents.
a) C.N.I.C and “B” form (self/guardian)
c) Result Card.
3. Attach Original Bank Challan and above mentioned documents along with this application form and submit to your
concerned REGIONAL OFFICE before the due date.

Photocopy can be used.

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